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Diabetes Device Choices

This is a personalized report of your diabetes device recommendations and choices. This report is a guide not a clinical recommendation. It's a guide based on your input, the best advice from Standford and the first hand knowledge of the T1 Community at DiabetesWise.org.

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Disclaimer: All prices are in USD and are estimates only.

Overview

Sensor & Pump

Eversense & Tandem

EversenseTandem 1

The Eversense sensor is implanted under the skin, so you can be discrete when needed. Paired with the Tandem pump, you have the ability to easily dose your insulin as needed. The Tandem pump also allows you to bolus directly from a compatible iOS or Android smartphone.

*You will need an iPhone to use the Eversense sensor.

 

Sensor & Inhaler

Medtronic Sensor & Afrezza

afrezza and medtronic

Alerts to minimize lows and highs with the option to link to a pump later.

Priority: Overall

Overall
Data and dosing on the fly.

Next Steps Next Steps

You're going to do great on the devices you choose

1.
Talk to your provider

Talk to your provider to get a prescription. Advocate for yourself with a list of reasons why you believe it is best for your lifestyle.

2.
Call the device companies

Talk to the device companies about the device you want and if your insurance will cover it. They can help with this.

3.
Call your insurance

Many insurance companies require documentation of different qualifications before approving diabetes device coverage. every insurance company is different but some common qualifications include checking your blood sugar 4-6 times per day or having frequent low blood sugars. Understanding what qualifications are necessary for device coverage before starting the approval process can make things a lot easier.

Visit https://study.diabeteswise.org/resources/getting-treatment/qualify-for-insurance/ for more resources.

Questions for your Doctor

Eversense & Tandem

Can I try this before I commit to it?

A lot of provider offices have sample devices you can touch and feel to get a sense of how they work. Some offices even have a trial device you can use for week to see how it works for you.

Medtronic Sensor & Afrezza

Can I try this before I commit to it?

A lot of provider offices have sample devices you can touch and feel to get a sense of how they work. Some offices even have a trial device you can use for week to see how it works for you.

How can I get insurance approval for Afrezza?

If you have health insurance: visit Beyond Type 1 for more information on how your provider can send a prescription to the pharmacy that Mannkind works closely with, UBC Pharmacy: 

UBC Pharmacy LLC
4700 N Hanley Rd Ste B
Saint Louis, MO 63134
NPI: 1962978858
Fax: 866-750-9260
Phone: 844-323-7399

Anyone in the United States can use this pharmacy to fill an Afrezza prescription. 

If you don't have health insurance: visit Beyond Type 1 for more information on Mannkind's patient assistance program

For more information on cost: visit Mannkind - Paying for Your Afrezza.

Questions for your insurance

Many insurance companies require documentation of different qualifications before approving diabetes device coverage. Every insurance company is different, but some common qualifications include checking your blood sugar 4-6 times per day or having frequent low blood sugars. Understanding what qualifications are necessary for device coverage before starting the approval process can make things a lot easier.

Talk to the device companies

Eversense

Either call the phone number here to ask about getting started or fill out the form that is linked here to get started.

1-844-736 7348 Eversense Website

Tandem t:slim X2

Call Tandem and ask them about your coverage. Talk to your Doctor to get a prescription.

1-877-801-6901 Tandem Website

Guardian Connect

Call Medtronic and ask them about how much it will cost with your insurance coverage. Talk to your Doctor to get a prescription.

1-800-646 4633 Medtronic Website

Afrezza

Call MannKind and ask them about your coverage. Talk to your Doctor to get a prescription.

1-844-323-7399 Afrezza Website

Additional Resources

By Priorities

Active Lifestyle Active Lifestyle

Because the sensor is under your skin, it won't get dislodged if it gets bumped
Optional settings for exercise to adjust treatment ranges for activity with the press of a button
Don't need to find a place for pump in active wear
Sensor Connect feature allows someone else to keep an eye on your blood sugar from the sidelines
No way to adjust long acting insulin for higher activity on the fly

Avoiding Highs and Lows Avoiding Highs and Lows

Only sensor that vibrates on your skin to alert for high or low blood sugars; alerts work even when smart phone isn't close by
Pumps allow different amounts of basal insulin at different times of day and very precise dosing
Sensor can alert you to a low before it happens
Inhalers are less precise than injections

Comfort Comfort

Longest lasting sensor
Sensor needs to be changed by your doctor
Smallest tubed pump
Tubed pumps have the most infusion sets to pick from
Medtronic sensors need more tape than other sensors
Have to carry inhaler and cartridges

Easy Insulin Dosing Easy Insulin Dosing

Can use sensor trends for dose adjustment
More customizable dosing than pens or syringes
Can use sensor trends for dose adjustment
You have to do the math to figure out your dose

Easy to Use Easy to Use

Sensor transmitter must be charged every day
Sensor changes far less often than other types, but your doctor must do it
Rechargeable pump battery
Pump has touchscreen
Sensor transmitter is rechargeable
Most steps to change sensor
Many steps to figure out doses and deliver insulin every single time you need it

Fewer Fingersticks Fewer Fingersticks

Daily fingersticks needed to calibrate sensor
Daily fingersticks needed to calibrate sensor

Privacy Privacy

Ability to see sugar on watch or phone
Sensor not movable on body
Sensor requires regular meter use
Touchscreen of pump looks like normal tech device
Ability to bolus directly on compatible smartphone
Sensor requires regular meter use
Ability to see blood sugar on phone
Inhalers are hideable when not in use

Cost & Coverage

Eversense

Eversense

Guardian Connect

Guardian Connect

Glucose Testing Supplies

Sensors
Transmitter (1 time purchase & Rechargeable)

Sensors

Transmitter

Glucose Testing Cost Estimate

Startup Bridge Program $99.

This is a trial program and there are eligibility requirements that should be considered prior.

Eversense is covered by select insurers, including Cigna and Medicare.

Startup $69 to $206

Monthly $32 to $97

These prices vary by Insurance. If you call Medtronic they will start a process to check exactly how much your costs will be. Generally Medtronic pumps and sensors are covered by private insurance and medicare. It may be covered under durable medical goods or a pharmacy benefit.

Tandem t:slim X2

Tandem t:slim X2

Afrezza

Afrezza

Insulin Dosing Supplies

Pump

Charger

Insulin Cartridges

Infusion Sites

Inhaler & Cartridges (Monthly) 

Insulin Dosing Cost Estimate

Startup $5 to $6,995

Monthly $20 to $200

Widely covered. Price range; 0-$99/month depending on insurance coverage. $35/month for medicare and commercial insurance plans.